Systems For and Methods Of Assessing Urinary Flow Rate Via Sound Analysis

ABSTRACT

Systems for and methods of assessing urinary flow rate via sound analysis. Embodiments of the uroflow measurement systems include a computer and a telephone or a digital recording mechanism to capture the sound of one or more urination events, which are stored as audio files in a database. The uroflow measurement systems may include sound analysis software for analyzing the strength and duration of each urination event and may include a web-based uroflow software application for viewing the results via the Internet or other network. In one embodiment, the sound analysis software performs the steps of reading in the raw data of a selected audio file, generating a plot of the audio signal amplitude vs. time, generating a plot of smoothed data for the purpose of presenting an outline of the flow, generating a main flow plot, which is a plot of the largest continuous flow that has a strength that is greater than a predetermined minimum, and generating a set of numerical values that correspond to the strength and duration of urination.

RELATED APPLICATION DATA

This application is a divisional of application U.S. application Ser.No. 11/530,314, filed Sep. 8, 2006, and titled “Systems For and Methodsof Assessing Urinary Flow Rate Via Sound Analysis,” which isincorporated by reference herein in its entirety. This application isalso related to U.S. application Ser. No. 12/123,145, filed May 19,2008, and titled “Systems For and Methods of Assessing Lower UrinaryTract Function Via Sound Analysis,” now U.S. Pat. No. 7,758,519.

FIELD OF THE INVENTION

The present invention generally relates to the field of urinary flowanalysis. In particular, the present invention is directed to systemsfor and methods of assessing urinary flow rate via sound analysis.

BACKGROUND

The measurement of a urinary flow rate is the simplest and widely usedinvestigation in the assessment of voiding dysfunction. The urinary flowrate provides important and useful information about whether a problemexists in a patient's lower urinary tract. Additionally, the measurementof urinary flow rate may indicate the degree and possible etiology of anongoing bladder pathology.

A uroflowmeter is a well-known device for measuring the rate of urineflow. Uroflowmeters that are commonly used today operate using one ofthree well-known methods: (1) a rotating disk method, (2) an electronicdipstick method, or (3) a gravimetric method. With the rotating diskmethod, voided fluid is directed onto a rotating disk and the amountlanding on the disk produces a proportionate increase in its inertia.The power required to keep the disk rotating at a constant rate ismeasured, allowing calculation of the flow rate of fluid. In theelectronic dipstick method, a dipstick is mounted in a collectingchamber and as urine accumulates the electrical capacitance of thedipstick changes, allowing calculation of the rate of fluid accumulationand hence the flow rate. With the gravimetric method, the weight ofcollected fluid or the hydrostatic pressure at the base of collectingcylinder is measured.

These uroflowmeters require that the user direct his/her urine streaminto a device and, thus, today's uroflowmeters can be uncomfortable,messy, and difficult for the patient to use. Furthermore, the use ofuroflowmeters in hospitals and doctor's offices poses a risk to medicalpersonnel of contacting urine excrements. Additionally, collecting datausing today's commercially available portable uroflowmeters is stillunpractical, available only to a limited number of patients producingonly limited number of measurements.

For these reasons, a need exists for improved systems for and methods ofassessing urinary flow rate, in order to provide mechanisms formeasuring urinary flow rate that are portable, convenient, easy to usein a non-stressful and risk-free environment and able to be used formass examinations.

SUMMARY OF THE DISCLOSURE

The present disclosure, in one embodiment, is directed to a websiteoperating on a server computing system. The website comprises a databaseoperable on the server computing system for storing a file into astorage medium, the file including information representing the soundsof urination in a receptacle received from a telephone near, but notcoupled to, the receptacle. The website includes a software routineexecutable on the server computer system for determining strength andduration of urination in a receptacle. The routine includes a firstmodule that generates a plot of amplitude versus time of the sounds ofthe urination using the file, a second module that generates a set ofnumerical values that correspond to the strength and duration of theurination using the plot, and one or more web pages in which at leastone of the following are displayed: the plot and the set of numericalvalues.

Another aspect of the disclosure is directed to a website for use inassessing urinary flow rates. The website comprises the features ofreceiving a signal from a telephone representing the sounds of urinationinto a preexisting volume of water in a receptacle, storing the signalin a storage medium as a file, determining strength and duration ofurination from the file, and displaying the strength and durationresults.

BRIEF DESCRIPTION OF THE DRAWINGS

For the purpose of illustrating the invention, the drawings show aspectsof one or more embodiments of the invention. However, it should beunderstood that the present invention is not limited to the precisearrangements and instrumentalities shown in the drawings, wherein:

FIG. 1 illustrates a functional block diagram of a uroflow measurementsystem, in accordance with a first embodiment of the disclosure;

FIG. 2A illustrates a plot of the raw data of an audio file that isgenerated by use of the uroflow measurement system of FIG. 1;

FIG. 2B illustrates a plot of the smoothed data of the raw data plot ofFIG. 2A;

FIG. 2C illustrates a plot of a main flow, which is a subset of thesmoothed data of FIG. 2B;

FIG. 2D illustrates an analysis window of the uroflow measurement systemof FIG. 1;

FIG. 3 illustrates a method of assessing urinary flow rate via soundanalysis by use of the uroflow measurement system of FIG. 1, inaccordance with a first embodiment of the disclosure;

FIG. 4 illustrates a functional block diagram of an automated uroflowmeasurement system, in accordance with a second embodiment of thedisclosure;

FIG. 5 illustrates a plot showing both the raw data and the main flow asderived from an audio file that is generated by use of the automateduroflow measurement system of FIG. 4;

FIG. 6 illustrates a method of automatically assessing urinary flow ratevia sound analysis by use of the automated uroflow measurement system ofFIG. 4, in accordance with a second embodiment of the disclosure;

FIG. 7 illustrates a functional block diagram of an automated uroflowmeasurement system, in accordance with a third embodiment of thedisclosure;

FIG. 8A illustrates a uroflow web page that is provided by use of theautomated uroflow measurement system of FIG. 7; and

FIG. 8B illustrates an example results plot that is provided by use ofthe automated uroflow measurement system of FIG. 7.

DETAILED DESCRIPTION

The present disclosure is directed to a uroflow measurement system andmethod for determining strength and duration of urination in a mannermore convenient than that typically available with known systems. In oneembodiment, the sounds of urination in a receptacle such as a toilet arecaptured using a microphone or other device and are stored as an audiofile. Sound analysis software is used to evaluate the information in theaudio file and provide a representation of strength and duration ofurination. In another embodiment, a telephone is used to capture thesounds of urination which are communication via a telephone system touroflow management software and then to sound analysis software whereanalysis of urination sounds is performed. Either embodiment may beimplemented via a website system, and alternatively, the audio filecontaining urination sound information may be send by email other meansto the website system.

FIG. 1 illustrates a functional block diagram of a uroflow measurementsystem 20, in accordance with a first embodiment of the disclosure.Uroflow measurement system 20 provides mechanisms for measuring urinaryflow rate by digitally capturing the sound of a patient urinating into areceptacle such as a toilet and, subsequently, performing an analysisthereof. Uroflow measurement system 20 includes a digital recordingdevice 22 and a microphone 24. Additionally, a set of files such asaudio files 26 are generated by, and stored upon digital recordingdevice 22. Typically, although not necessarily, audio files 26 aredigital files. Uroflow measurement system 20 further includes a computer28 that comprises sound analysis software 30 and a database 32 uponwhich is stored a set of audio files 26′ (typically but not necessarilydigital files) and a set of results files 34.

Digital recording device 22 may be any commercially available portablesound recorder capable of capturing an audio input signal of microphone24 and storing a representation thereof (i.e., any one of audio files26) in any suitable audio file format, such as WAV format or MP3 format.Digital recording device 22 has a recording frequency in the range of,for example, but not limited to, 11025 to 44100 hertz (Hz).Additionally, digital recording device 22 may have an input/output port,such as, but not limited to, a universal serial bus (USB) port orfirewire port, for transferring audio files 26 to an external computer,such as to computer 28. In other embodiments, digital recording device22 may include a removable memory card (not shown) or other removablestorage medium for transferring audio files 26 to an external computer.In yet other embodiments, digital recording device 22 may be integratedwith computer 28. An example digital recording device 22 is the SonyICB300 Digital Voice Recorder available from Sony Corporation, Tokyo,Japan. Microphone 24 may be a conventional microphone that is built intodigital recording device 22. Alternatively, microphone 24 may be anexternal microphone that is in either wired or wireless communicationwith digital recording device 22. In the case of an external microphone,the use of a water resistant and/or floating microphone may bebeneficial.

In the context of uroflow measurement system 20, the combination ofdigital recording device 22 and microphone 24 is one example of amechanism for capturing the sound of a patient urinating into areceptacle such as a toilet, i.e., for capturing the sound of the urinestream. Each audio file 26 of digital recording device 22 is typicallyassociated with a single urination event, although in some cases it maybe desirable to use a single audio file 26 for multiple urinationevents.

Computer 28 may be any computer or computing resource, such as ahandheld, laptop, desktop, or networked computer, that utilizes anysuitable operating system, such as Microsoft Windows® 2000, Windows XP,Unix, Linux or Macintosh, that is capable of executing commerciallyavailable software applications or custom software applications, such assound analysis software 30. Computer 28 typically includes a display fordisplaying the results of analysis of the sounds of urination, asdescribed more below.

Database 32 may be created and maintained by any suitable databasesoftware, such as Oracle database software available from OracleCorporation (Redwood Shores, Calif.), that stores relationships betweenpatients and their associated audio files 26′ and results files 34.Audio files 26′ are audio files 26 of digital recording device 22 thathave been transferred to database 32 of computer 28. Each audio file 26′will typically, although not necessarily, be associated with aparticular patient. Results files 34 are data files that contain theresults of the digital analysis of respective audio files 26′. Theanalysis is performed by sound analysis software 30, as described below.

Sound analysis software 30 is a software application that performs ananalysis upon audio files 26′, which, in the context of uroflowmeasurement system 20, are audio files may be a digital representationof the sound of a patient expelling urine into suitable receptacle, suchas a toilet, i.e., a digital representation of the sound of a urinestream. In one example, the audio file may be a digital representationof the sound of urine striking the water in the toilet or the sides ofthe toilet where water is not maintained in the toilet bowl, or anyother sound associated with urination. More specifically, sound analysissoftware 30 provides a visual/graphic analysis of a urination eventand/or a set of numerical values that correspond to the strength andduration of the urination event. The present invention encompasses theuse of any software for achieving the functions of software 30 describedherein, as those of ordinary skill in the art will appreciate. Theoperations that are performed by sound analysis software 30 may include,but are not limited to, the following:

-   -   1. reading in the raw data of a selected audio file 26′. In        doing so, the selected audio file 26′ is converted into an array        of amplitude readings at, for example, 8,000 data points per        second;    -   2. generating a plot of audio signal amplitude vs. time. An        example of such a raw data plot 40 appears in FIG. 2A. The audio        signal amplitude represented in such a plot may be shown simply        as the relative magnitude of the sound (i.e., no units), or may        be shown as the fraction of the full possible amplitude of the        sound signal, voltage, or any unit of sound volume;    -   3. generating a plot of smoothed data for the purpose of        presenting an outline of the flow. For example, an envelope is        calculated of, for example, the average positive amplitude per        100 data points. An example of such a smoothed data plot 42        appears in FIG. 2B;    -   4. referring to the smoothed data plot of the above-mentioned        item 3, removing points that are less than a user-selected        minimum percentage (e.g., 10%) of maximum amplitude.        Subsequently, a plot of the largest continuous flow that has a        strength that is greater than the minimum, i.e., a main flow        plot, is generated. An example of this main flow plot 44 appears        in FIG. 2C. Smaller lumps are discarded as spurts or drips. In        doing so, a mechanism for comparing one audio file 26′ to        another with regard to “time to peak flow” is provided. The        duration and time to peak flow starts at the beginning of the        main flow as described above. Integration of other metrics of        the main flow also provides a means of comparing one urination        event to others;    -   5. by use of the main flow plot of the above-mentioned item 4,        an analysis is performed in order to generate a set of numerical        values that correspond to the strength and duration of        urination. These values are used in order to compare numerically        two or more urination events. An example of such a set of values        is shown in an analysis window 46 that appears in FIG. 2D.        Values include, but are not limited to, the following:        -   (a) MAXIMUM FLOW maximum measured in arbitrary units            recorded in the course of a single urination event.        -   (b) TIME TO MAXIMUM FLOW—a measure of the time from the            beginning of the main flow until the maximum amplitude is            reached;        -   (c) VOIDING TIME—a measure of the time duration of the main            flow;        -   (d) AVERAGE FLOW—the arithmetic mean of the main flow in            arbitrary units. The mean is used for comparing two or more            audio files 26′; and        -   (e) SCORE—the integral of amplitude with time, which is then            divided by a large number, e.g., one million, in order to            generate a more ordinary number;    -   and    -   6. writing the above-mentioned plots and analysis to database 32        of computer 28.

As mentioned, FIG. 2A illustrates a raw data plot 40, which is the rawdata from a selected one of audio files 26′ that is generated by uroflowmeasurement system 20 of FIG. 1. More specifically, raw data plot 40 isa plot of audio signal amplitude vs. time of the selected audio file 26′in its entirety, which, again, is the digital representation of thesound of a stream of urine striking the water in a toilet or otherreceptacle during a urination event.

FIG. 2B illustrates smoothed data plot 42 of raw data plot 40 of FIG.2A. More specifically, smoothed data plot 42 is an envelope that is acalculation of, for example, the average positive amplitude per 100 datapoints of raw data plot 40 of FIG. 2A. In doing so, smoothed data plot42 shows an outline of the flow of the entire urination event. Thepresent invention encompasses the use of any data smoothing algorithmsthat produce a result suitable for intended use, as known to thoseskilled in the art.

FIG. 2C illustrates main flow plot 44, which is a selected portion ofsmoothed data plot 42 of FIG. 2B. More specifically, main flow plot 44is a plot of the largest continuous flow that has a strength that isgreater than the minimum. Smaller lumps that are present in smootheddata plot 42 that represent spurts or drips are discarded in arriving atmain flow plot 44. For example, main flow plot 44 is the result ofdiscarding the smaller leading and trailing lumps of smoothed data plot42 of FIG. 2B.

FIG. 2D illustrates an analysis window 46 of uroflow measurement system20 of FIG. 1, which is the result of sound analysis software 30performing an analysis in order to generate a set of values thatcorrespond to the strength and duration of urination. In the example ofanalysis window 46, values corresponding to MAXIMUM FLOW, TIME TOMAXIMUM FLOW, AVERAGE FLOW, VOIDING TIME, and SCORE are shown. Thesevalues are used in order to compare numerically two or more urinationevents. More details of the operation and use of uroflow measurementsystem 20 are in connection with FIG. 3.

FIG. 3 illustrates a method 50 of assessing urinary flow rate via soundanalysis by use of uroflow measurement system 20 of FIG. 1, inaccordance with one embodiment of the disclosure. At step 52, a userpositions microphone 24 of digital recording device 22 in closeproximity to the receptacle (not shown) into which he/she wishes tourinate. At step 54, the user activates digital recording device 22. Atstep 56, the user urinates into the receptacle. In doing so, digitalrecording device 22 captures the sound of the urine stream. At step 58,the user deactivates digital recording device 22 and removes digitalrecording device 22 and microphone 24 from the receptacle area. Atdecision step 60, the user decides whether he/she wishes to supplyanother sample, i.e., another audio file 26. If yes, method 50 returnsto step 52. If no, method 50 proceeds to step 62.

At step 62, the user transfers one or more audio files 26 from digitalrecording device 22 to computer 28 via a USB connection, wirelessconnection, a memory card, or any other conventional means. In doing so,the one or more audio files 26 are stored upon database 32 of computer28 as respective audio files 26′ along with a tag for each thatindicates the patient to which it is associated and/or any otherpertinent information.

At step 64, sound analysis software 30 reads in each audio file 26′ andperforms an analysis thereon in order to determine the strength andduration of each urination event, such as described above in connectionwith FIGS. 1, 2A, 2B, 2C, and 2D. In doing so, a set of graphs, such asraw data plot 40 of FIG. 2A, smoothed data plot 42 of FIG. 2B, and mainflow plot 44 of FIG. 2C, along with a set of numerical values, such asshown in analysis window 46 of FIG. 2D, are generated for each urinationevent. Again, example values that are displayed in analysis window 46may include, but are not limited to, MAXIMUM FLOW, TIME TO MAXIMUM FLOW,AVERAGE FLOW, VOIDING TIME, and SCORE, as described above in connectionwith FIGS. 1, 2A, 2B, 2C, and 2D.

At step 66, the graphs and values of step 64 are stored in database 32as a corresponding results file 34 for each urination event. Thisinformation may be used for the assessment of urine flow rate andduration as well as for comparing one urination event to another for thepurpose of establishing urination patterns and history. Method 50 mayend at step 68 or may return to, for example, either step 52 or step 54.

FIG. 4 illustrates a functional block diagram of an automated uroflowmeasurement system 100, in accordance with a second embodiment of thedisclosure. Automated uroflow measurement system 100 provides mechanismsfor measuring urinary flow rate by capturing over the telephone thesound of a patient urinating into a receptacle and, subsequently,performing an analysis thereof in an automated fashion. Automateduroflow measurement system 100 includes a computer 110 that comprisesuroflow management software 112 and a database 114 upon which is storeda set of audio files 116 and a set of results files 118. Also residingon computer 110 is sound analysis software 119 that may be the same as,or similar to, software 30 that is described above in connection withFIGS. 1, 2A, 2B, 2C, 2D, and 3. Automated uroflow measurement system 100further includes a telephone 120 that is electrically connected totelephone system computer 121 by use of wired or cellularinfrastructure, as is well known, or telephone 120 may be electricallyconnected to computer 110 by use of wired or cellular infrastructure, asis well known.

Telephone system computer 121 is, e.g., representative of an applicationserver that is associated with any private or commercially availablecellular, landline or other telephone service provider. Exampletelephone service providers include, but are not limited to, VerizonWireless (Bedminster, N.J.), Sprint Nextel (Reston, Va.), Time WarnerCable (Stamford, Conn.), and Verizon (New York, N.Y.). Telephone systemcomputer 121 may capture, store and send telephone recordings (e.g.,voice mails). Uroflow management software 112 is the softwareapplication that manages the overall functions that are related tomeasuring urinary flow rate. More specifically, uroflow managementsoftware 112 obtains its sound data from telephone system computer 121(e.g., via e-mail attachment, ftp or other means of transferring sounddata or files) or from real-time stream of sound from telephone 120,makes the analysis thereof by use of sound analysis software 119, storesthe results in the database 114, and manages all of the foregoing. Theresults may be communicated back to the user by email, ftp or othermeans of transferring digital files, or made available on a web site.Telephone 120 may be any commercially available (or specificallyconstructed) telephone or cellular telephone.

Database 114 may be created and maintained by any suitable databasemanagement software, such as the above-mentioned Oracle databasesoftware, that stores relationships between patients and theirassociated audio files 116 and results files 118. Audio files 116 areaudio files of the sound of corresponding respective urination eventsthat are received at telephone system computer 121 via telephone 120.Audio files 116 may have any suitable audio file format, such as WAVformat or MP3 format. Each audio file 116 is typically associated with aparticular patient and may carry a timestamp. Results files 118 are datafiles that contain the results of the digital analysis of respectiveaudio files 116. This analysis is performed by sound analysis software119, for example, as described above in connection with software 30 andFIGS. 1, 2A, 2B, 2C, 2D, and 3.

FIG. 5 illustrates a combined audio plot 122 derived from an audio file116 that may be generated by use of automated uroflow measurement system100 of FIG. 4. Audio plot 122 is a combination of a raw data plot 124upon which is overlaid a main flow plot 126. More specifically, raw dataplot 124 is a plot of audio signal amplitude vs. time of a selectedaudio file 116 in its entirety, which is the digital representation ofthe sound of a stream of during a urination event, such as describedabove with respect to raw data plot 40 of FIG. 2A. Main flow plot 126 isa selected portion of raw data plot 124. More specifically, main flowplot 126 is a plot of the largest continuous flow having a strengthgreater than the minimum. Smaller lumps that are present in raw dataplot 124 that represent spurts or drips are discarded generally in themanner described with respect to main flow plot 44 of FIG. 2C. Moredetails of the operation and use of automated uroflow measurement system100 are presented below in connection with FIG. 6.

FIG. 6 illustrates a method 130 of assessing automatically urinary flowrate via sound analysis by use of automated uroflow measurement system100 of FIG. 4, in accordance with a second embodiment of the disclosure.At step 132, a user who wishes to have his/her urine flow rate analyzeddials a predetermined telephone number by use of his/her telephone 120.In doing so, the user is connected to computer 110 of automated uroflowmeasurement system 100 via his/her telephone 120. The user may also beconnected to a voicemail system which stores the sounds of urination forlater processing by the telephone system computer. The phone number maybe, for example, a toll free telephone number that is established by theadministrator of automated uroflow measurement system 100 and providedto patients by their respective physicians.

At step 134, having dialed the predetermined telephone number at step132, the user listens on his/her telephone 120 for a prompt to beginurinating into his/her toilet or other receptacle. The prompt may be abeep, prerecorded voice, or any audible prompt. At step 136, a userpositions his/her telephone 120 in close proximity to the receptacle(not shown) into which he/she wishes to urinate. Subsequently, the userurinates into the receptacle. In doing so, the sound is transmitted viatelephone 120 to telephone system computer 121. At step 138, uponcompletion of the urination event, the telephone call is ended by userhanging up his/her telephone 120.

At step 140, upon completion of the telephone call, an email that has anaudio file 116 attached thereto is received automatically at computer110. Audio file 116 is the digital representation of the sound of theurine stream during micturition. At step 142, uroflow managementsoftware 112 of computer 110 decodes the given audio file 116 that isreceived via email in order to link the given audio file 116 to thecaller-ID. Subsequently, the given audio file 116 is stored in database114 along with its unique identification information and a timestamp.

At step 144, sound analysis software 30 reads in the given audio file116 and performs an analysis thereon in order to determine the strengthand duration of the urination event, such as described with reference toFIGS. 1 through 5. In doing so, a set of graphs, such shown in audioplot 122 of FIG. 5 (e.g., raw data plot 124 and main flow plot 126),along with a set of values, such as shown in analysis window 46 of FIG.2D, are generated for the urination event. Example values include, butare not limited to, MAXIMUM FLOW, TIME TO MAXIMUM FLOW, AVERAGE FLOW,VOIDING TIME, and SCORE, as described with respect to FIGS. 1, 2A, 2B,2C, and 2D.

At step 146, the graphs and values of step 144 are stored in database114 as a corresponding results file 118 for the given urination event.This information may be used for the assessment of urine flow rate andduration as well as for comparing one urination event to another for thepurpose of establishing urination patterns and history.

At step 148, the graphs and values of step 146, which are the results ofthe analysis that is performed in step 144, are transmitted to thepatient's doctors and/or the patient for review. The transmission mayoccur, for example, via email or voicemail under the control of uroflowmanagement software 112 of computer 110. Also a web site link may beprovided into which the patient may log in and access his/her results.At decision step 150, the user decides whether he/she wishes to supplyanother sample, i.e., another audio file 116. If yes, method 130 returnsto step 132. If no, method 130 may end.

FIG. 7 illustrates a functional block diagram of an automated uroflowmeasurement system 200, in accordance with a third embodiment of thedisclosure. Automated uroflow measurement system 200 includes a usercomputer 210 that is in communication with digital recording device 22that contains audio files 26 and that is connected to microphone 24.Digital recording device 22, microphone 24, and audio files 26 asdescribed above in connection to uroflow measurement system 20 ofFIG. 1. Additionally, user computer 210 includes a browser 212 by whicha uroflow website 214 is displayed to the user of user computer 210.Automated uroflow measurement system 200 further includes a computer 216that includes database 114 and sound analysis software 119, which aredescribed above with connection to automated uroflow measurement system100 of FIG. 4, and uroflow management software 218. Database 114includes audio files 116 and results files 118, which are describedabove with connection to automated uroflow measurement system 100 ofFIG. 4, and a collection of web links 220. Automated uroflow measurementsystem 200 further includes telephone 120 and telephone system computer121, which are likewise described above in connection with automateduroflow measurement system 100 of FIG. 4. Furthermore, a communicationlink is provided between user computer 210, computer 216, and telephonesystem computer 121 by use of a network 222, which may be any suitablewired or wireless network, such as a local area network (LAN), a widearea network (WAN), or the Internet.

Computer 210 and computer 216 may be any standard computer or computingresource, such as a handheld, laptop, desktop, or networked computer,that utilizes any suitable operating system, such as Microsoft Windows®2000, Windows XP, Unix, Linux, or Macintosh, that is capable ofexecuting commercially available software applications or customsoftware applications, such as, in the case of computer 216, soundanalysis software 119.

Browser 212 of computer 210 may be any suitable Internet browserapplication, such as, but not limited to, Windows® Internet Explorer orNetscape® Navigator. Uroflow website 214 is a website that is providedto a user accessing uroflow management software 218 of computer 216 vianetwork 222. More specifically, a user accesses, via his/her usercomputer 210, web links 220 of database 114 that are associated withuroflow website 214. Uroflow website 214 serves as a graphical userinterface (GUI) by which the user may access the web-based uroflowapplication of computer 216, which is formed by the combination ofdatabase 114, sound analysis software 119, and uroflow managementsoftware 218. In particular, under the control of uroflow managementsoftware 218 of computer 216, a user may login to the web-based uroflowapplication. The function of uroflow management software 218 issubstantially identical to that of management software 112 of automateduroflow measurement system 100 of FIG. 4, except for the additionalfunction of managing the web-based uroflow application that allows apatient, doctor, or other interested party to login and view the resultsof the sound analysis of one or more urination events that is performedby sound analysis software 119. In doing so, the strength and durationof one or more urination events, such as described with connection toFIGS. 1 through 6, are displayed to the user via uroflow website 214 inthe display of user computer 210. More specifically, a set of graphs,along with a set of numerical values, such as, but not limited to,MAXIMUM FLOW, TIME TO MAXIMUM FLOW, AVERAGE FLOW, VOIDING TIME andSCORE, are presented to the user via uroflow website 214. More detailsof an example uroflow website 214 are provided with reference to FIGS.8A and 8B.

FIG. 8A illustrates one instance of uroflow website 214 that is providedby use of automated uroflow measurement 200 system of FIG. 7. In theexample shown in FIG. 8A, the analysis of three urination events fromthe same individual is displayed to the user in graphical fashion viauroflow website 214, which is displayed within browser 212 of his/heruser computer 210. Displayed as a numerical value for each of the threeurination events is a MAXIMUM FLOW, TIME TO MAXIMUM FLOW, AVERAGE FLOW,VOIDING TIME and SCORE. Also displayed for each of the three urinationevents is a “thumbnail” of a results plot 224, e.g., a thumbnail of aresults plot 224 a, 224 b and 224 c. In one embodiment of uroflowwebsite 214, by clicking on the thumbnail of a given results plot 224,the selected results plot is enlarged, as shown in more detail in FIG.8B.

FIG. 8B illustrates an example results plot 224 that is provided by useof uroflow website 214 of automated uroflow measurement system 200 ofFIG. 7. By way of example, FIG. 8B shows an enlarged view of resultsplot 224 b of uroflow website 214 of FIG. 8A. More specifically, resultsplot 224 b of uroflow website 214 is a graphical representation of, forexample, the combination of raw data plot 40 of FIG. 2A, smoothed dataplot 42 of FIG. 2B, main flow plot 44 of FIG. 2C, and analysis window 46of FIG. 2D. The enlarged graphical representation of results plot 224 bis displayed to the user within browser 212 of his/her user computer210.

Referring again to FIGS. 7, 8A, and 8B, the operation of automateduroflow measurement system 200 is as follows. An audio file of aurination event is captured either by use of digital recording device 22and microphone 24 or by use of telephone 120. In the case of digitalrecording device 22 and microphone 24, the urination event is stored asan audio file 26. The associated audio file 26 is then transferred touser computer 210 from which a user may email (by any conventional emailapplication) the associated audio file 26 to computer 216 via network222. Alternatively, uroflow website 214 may make provision to transferthe associated audio file 26 to computer 216. The user's audio file 26is saved in database 114 as, for example, an audio file 116. However, inthe case of a patient using telephone 120, the sound of a urinationevent is transferred to computer 216 by use of telephone system computer121, as described in connection to automated uroflow measurement system100 of FIG. 4, and network 222. Again, the user's audio file is saved indatabase 114 as, for example, an audio file 116. In either case, storedalong with audio file 116 may be an identification mechanism (e.g., atelephone number) for linking the file to its source (i.e., to aspecific patient) and a timestamp. Having saved one or more audio files116 to database 114 of computer 216, sound analysis software 119executes in order to generate MAXIMUM FLOW, TIME TO MAXIMUM FLOW,AVERAGE FLOW, VOIDING TIME and SCORE and the plots of the urinationevent, such as results plots 224 a, 224 b, and 224 c, as shown inuroflow website 214 of FIG. 8A. Subsequently, a doctor, patient, orother authorized interested party may access the web-based uroflowapplication of computer 216 by use of uroflow website 214, in order toview, in graphical fashion, the results of one or more urination events.

In summary, a uroflow measurement system made in accordance with thepresent disclosure, such as uroflow measurement system 20 of FIG. 1,automated uroflow measurement system 100 of FIG. 4, and automateduroflow measurement system 200 of FIG. 7, provide mechanisms forassessing urinary flow rate via sound analysis. Uroflow measurementsystem 20, automated uroflow measurement system 100, and automateduroflow measurement system 200 are designed for easy use in a patient'shome, which eliminates the negative effects and stressfulness of thetest environment and, provides more reliable test results. Uroflowmeasurement system 20, automated uroflow measurement system 100, andautomated uroflow measurement system 200 may be used for initialscreening and follow-up with treatment of persons in all age groups,including pediatric and adolescent patients. Additionally, the use ofeither of uroflow measurement system 20, automated uroflow measurementsystem 100, or automated uroflow measurement system 200 allows themicturition process to be studied and allows for better understanding ofthe development of micturition as well as to be able to determineseveral types of abnormal voiding habits during early childhood andpuberty that later lead to specific voiding dysfunctions. Additionally,the use of either of these systems provides patients an easy and quickway to assess their lower urinary tract function and treatment effects,which gives clinicians more accurate information and helps to monitorthe dynamics of the disease and the progress of therapy managementoverall. Furthermore, the use of a uroflow measurement system of thepresent disclosure may allow mass preventive examinations, moreprecisely select patient population seeking medical help and diminishthe contact of medical personnel with urine excrements.

In addition, the use of a uroflow measurement system of the presentdisclosure, such as either of uroflow measurement system 20, automateduroflow measurement system 100, or automated uroflow measurement system200, that provide urine flow measurement based on sound transduction maybe used in medical research in order to test effects of new drugs thatare intended to be employed in the treatment of bladder dysfunctions.

While the present invention may be satisfactorily performed using atoilet to receive the urination, it is not so limited. If desired,urination may occur in other receptacles. Generally speaking, suitablealternative receptacles will tend to reflect rather than absorb thesounds of urination so as to permit the sounds of urination to bereadily transmitted and captured by digital recording device 22 or othersuitable device.

Exemplary embodiments have been disclosed above and illustrated in theaccompanying drawings. It will be understood by those skilled in the artthat various changes, omissions and additions may be made to that whichis specifically disclosed herein without departing from the spirit andscope of the present invention.

1. A website operating on a server computing system, the websitecomprising: a. a database operable on the server computing system forstoring a file into a storage medium, the file including informationrepresenting the sounds of urination in a receptacle received from atelephone near, but not coupled to, the receptacle; b. a softwareroutine executable on the server computer system for determiningstrength and duration of urination in a receptacle, said routineincluding: i. a first module that generates a plot of amplitude versustime of the sounds of the urination using said file; and ii. a secondmodule that generates a set of numerical values that correspond to thestrength and duration of the urination using said plot; and c. one ormore web pages in which at least one of the following are displayed:said plot and said set of numerical values.
 2. A website according toclaim 1, including a user interface for permitting a user to transmitinformation representing the sounds of urination in a receptacle to theserver computer.
 3. A website according to claim 1, wherein said set ofnumerical values includes at least one of the following: maximum flow,time to maximum flow, voiding time, average flow and score.
 4. A websiteaccording to claim 1, wherein said database is further operable to storeimages representing said plot.
 5. A website according to claim 1,further including a user interface for permitting limited access to thedatabase.
 6. A website for use in assessing urinary flow rates, thewebsite comprising the features of: a. receiving a signal from atelephone representing the sounds of urination into a preexisting volumeof water in a receptacle; b. storing the signal in a storage medium as afile; c. determining strength and duration of urination from the file;and d. displaying the results of said determining strength and durationof urination.
 7. A website according to claim 6, wherein saiddetermining feature includes generating a plot of amplitude versus timeof the sounds of the urination using the file.
 8. A website according toclaim 7, wherein said determining feature includes generating a set ofnumerical values that correspond to the strength and duration of theurination using the plot.